A meta-analysis and systematic literature review of factors associated with sexual risk-taking during international travel
Svensson, Pia LU ; Sundbeck, Mats LU
; Persson, Kristina Ingemarsdotter
; Stafström, Martin
LU
; Östergren, Per Olof
LU
; Mannheimer, Louise
and Agardh, Anette
LU
(2018)
In Travel Medicine and Infectious Disease
24.
p.65-88
- Abstract
Background: International travel facilitates global spread of sexually transmitted infections (STI). Travellers could contribute to onward transmission of pathogens rarely encountered at home and export new strains to the destination. The aim was to systematically examine evidence regarding determinants of travel-related sexual risk-taking and identify knowledge gaps and areas for targeted interventions. Method: Articles published in peer-reviewed journals from 2000 to 2017 were screened in 6 databases and assessed for relevance against criteria. Data was extracted for factors associated with travel-related STI or proxies. Meta-analyses estimated pooled prevalence of casual sex and non-condom use. Adjusted odds ratios of predictors were... (More)
Background: International travel facilitates global spread of sexually transmitted infections (STI). Travellers could contribute to onward transmission of pathogens rarely encountered at home and export new strains to the destination. The aim was to systematically examine evidence regarding determinants of travel-related sexual risk-taking and identify knowledge gaps and areas for targeted interventions. Method: Articles published in peer-reviewed journals from 2000 to 2017 were screened in 6 databases and assessed for relevance against criteria. Data was extracted for factors associated with travel-related STI or proxies. Meta-analyses estimated pooled prevalence of casual sex and non-condom use. Adjusted odds ratios of predictors were pooled to generate a combined estimate. Result: Forty-nine articles qualified for inclusion. A heterogeneity test indicated variation across studies. The pooled prevalence of casual travel sex was 35% and prevalence of non-condom use 17%. Expectations of casual sex strongly predicted sex with a new partner when travelling abroad. Planning to have sex indicated condom use. Conclusion: The studies largely represented sub-groups of risk-taking populations from a European context, indicating substantial knowledge gaps. Studies investigating migrants travelling to visit friends and relatives, older travellers, and female travelers are needed. Post–travel harm reduction activities may serve as a focus for future interventions.
(Less)
- author
- Svensson, Pia
LU
; Sundbeck, Mats
LU
; Persson, Kristina Ingemarsdotter
; Stafström, Martin
LU
; Östergren, Per Olof
LU
; Mannheimer, Louise
and Agardh, Anette
LU
- organization
- publishing date
- 2018-07
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Meta-analysis, Sexual risk-taking, Sexually transmitted infections, Travel
- in
- Travel Medicine and Infectious Disease
- volume
- 24
- pages
- 65 - 88
- publisher
- Elsevier
- external identifiers
-
- pmid:29567294
- scopus:85044580186
- ISSN
- 1477-8939
- DOI
- 10.1016/j.tmaid.2018.03.002
- language
- English
- LU publication?
- yes
- id
- 500b5099-b4f3-4cc0-97fe-f246d0f29799
- date added to LUP
- 2018-04-12 14:11:12
- date last changed
- 2024-07-08 12:33:12
@article{500b5099-b4f3-4cc0-97fe-f246d0f29799,
abstract = {{<p>Background: International travel facilitates global spread of sexually transmitted infections (STI). Travellers could contribute to onward transmission of pathogens rarely encountered at home and export new strains to the destination. The aim was to systematically examine evidence regarding determinants of travel-related sexual risk-taking and identify knowledge gaps and areas for targeted interventions. Method: Articles published in peer-reviewed journals from 2000 to 2017 were screened in 6 databases and assessed for relevance against criteria. Data was extracted for factors associated with travel-related STI or proxies. Meta-analyses estimated pooled prevalence of casual sex and non-condom use. Adjusted odds ratios of predictors were pooled to generate a combined estimate. Result: Forty-nine articles qualified for inclusion. A heterogeneity test indicated variation across studies. The pooled prevalence of casual travel sex was 35% and prevalence of non-condom use 17%. Expectations of casual sex strongly predicted sex with a new partner when travelling abroad. Planning to have sex indicated condom use. Conclusion: The studies largely represented sub-groups of risk-taking populations from a European context, indicating substantial knowledge gaps. Studies investigating migrants travelling to visit friends and relatives, older travellers, and female travelers are needed. Post–travel harm reduction activities may serve as a focus for future interventions.</p>}},
author = {{Svensson, Pia and Sundbeck, Mats and Persson, Kristina Ingemarsdotter and Stafström, Martin and Östergren, Per Olof and Mannheimer, Louise and Agardh, Anette}},
issn = {{1477-8939}},
keywords = {{Meta-analysis; Sexual risk-taking; Sexually transmitted infections; Travel}},
language = {{eng}},
pages = {{65--88}},
publisher = {{Elsevier}},
series = {{Travel Medicine and Infectious Disease}},
title = {{A meta-analysis and systematic literature review of factors associated with sexual risk-taking during international travel}},
url = {{http://dx.doi.org/10.1016/j.tmaid.2018.03.002}},
doi = {{10.1016/j.tmaid.2018.03.002}},
volume = {{24}},
year = {{2018}},
}